Active NPI
Shannon Mary McKevitt
- Physical Therapist
- Plainfield, IL
National Provider Identifier
1144895178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 11914 Illinois Rte 59
Suite 134
Plainfield, IL 60585 - Phone
- (630) 381-0496
- NPI assigned
- May 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
11914 Illinois Rte 59
Suite 134
Plainfield, IL 60585
Mailing address
11914 Illinois Rte 59
Suite 134
Plainfield, IL 60585
Phone (630) 381-0496
Other practice location 1
14711 S Ravinia Ave Apt Suite
Orland Park, IL 60462-3100
Phone (815) 469-1500
Other practice location 2
21000 S Frankfort Square Rd Ste D
Frankfort, IL 60423-9386
Phone (815) 469-1500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids on the Grow | Physical Therapist | Past | Accepting new patients |
| Westside Childrens Therapy | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Joliet, IL
- NPI 1972783900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652227200000",
"number": "1144895178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11914 ILLINOIS RTE 59",
"address_2": "SUITE 134",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "60585",
"telephone_number": "630-381-0496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11914 ILLINOIS RTE 59",
"address_2": "SUITE 134",
"city": "PLAINFIELD",
"state": "IL",
"postal_code": "60585",
"telephone_number": "630-381-0496"
}
],
"practiceLocations": [
{
"address_1": "14711 S Ravinia Ave Apt Suite",
"address_purpose": "LOCATION",
"city": "Orland Park",
"state": "IL",
"postal_code": "604623100",
"country_code": "US",
"telephone_number": "815-469-1500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "21000 S Frankfort Square Rd Ste D",
"address_purpose": "LOCATION",
"city": "Frankfort",
"state": "IL",
"postal_code": "604239386",
"country_code": "US",
"telephone_number": "815-469-1500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCKEVITT",
"first_name": "SHANNON",
"middle_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-21",
"last_updated": "2022-05-11",
"certification_date": "2022-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plainfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.